Transoral Endoscopic Thyroidectomy by Vestibular Approach—Initial Experience and Comparative Analysis in the First Reported Mexican Cohort

Pérez-Soto, Rafael Humberto; León-Ballesteros, Guillermo Ponce de; Montalvo-Hernández, Jorge; Sierra-Salazar, Mauricio; Millán, Juan Pablo Pantoja; Herrera-Hernández, Miguel Francisco; Velázquez-Fernández, David

doi:10.1089/lap.2019.0537

Cited by 26 publications

(49 citation statements)

References 24 publications

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“…Bian et al 16 reported 17 patients experienced transient mental nerve injury. Pérez‐Soto et al 17 reported three patients presented transient mental nerve injury.…”

Section: Discussionmentioning

confidence: 99%

“…32 New specific complications brought by TOETVA include increased risk of wound infection and mental nerve injury. Of the studies included in this analysis, three studies [15][16][17] reported wound infection and mental nerve injury. Concern for higher risk of wound infection occurred due to clean-contaminated procedure in TOETVA.…”

Section: Discussionmentioning

confidence: 99%

“…One study published recently was included. Therefore, six studies [15][16][17][18][19][20] matched the inclusion criteria and were included. All these studies were nonrandomized controlled trials.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…9,11 Recently, increasing evidence has investigated the safety and feasibility of the TOETVA with a paucity of comparative studies. [9][10][11][12][13] Although a few studies have directly compared TOETVA and COT, [14][15][16][17][18][19][20] it has failed to reach a consensus whether TOETVA is safe and feasible for thyroid lesions because of small number of sample size and assessment at a single institution. Up to the present, no meta-analysis has systematically reviewed the differences between TOETVA and COT.…”

Section: Introductionmentioning

confidence: 99%

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Transoral endoscopic thyroidectomy vestibular approach vs conventional open thyroidectomy: Meta‐analysis

et al. 2020

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Background: To conduct a meta-analysis to compare the safety and efficacy of transoral endoscopic thyroidectomy vestibular approach (TOETVA) with conventional open thyroidectomy (COT). Methods: MEDLINE, EMBASE, Science Citation Index Expanded, and the Cochrane Central Register of Controlled Trials in the Cochrane Library from January 2007 to March 2020 were searched to identify studies comparing TOETVA and COT. Results: Six eligible nonrandomized studies involving 1151 patients were included. Meta-analysis results revealed that TOETVA group had a significantly longer operative time (weighted mean difference [WMD], 66.09; 95% confidence interval [CI], 35.22-96.96; P < .0001) and larger amount of drainage (WMD, 98; 95% CI, 20.14-175.86; P = .01). There were no significant differences in terms of postoperative outcomes. Conclusion: TOETVA appears to be as feasible and safe as the COT for the treatment of patients with benign thyroid nodules and selected differential thyroid carcinomas.

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“…Bian et al 16 reported 17 patients experienced transient mental nerve injury. Pérez‐Soto et al 17 reported three patients presented transient mental nerve injury.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Transoral endoscopic thyroidectomy vestibular approach vs conventional open thyroidectomy: Meta‐analysis

et al. 2020

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“…The momentum for this novel approach gained favor among international circles, and several trials have reproduced the safety and efficacy of TOETVA in Asia, Europe, and the United States ( 18 , 22 – 29 ). When compared to open surgical approaches, TOETVA has reliably demonstrated similar rates of postoperative infection, reduced pain, safety, and a similar complication profile to open techniques (recurrent laryngeal nerve injury and hypoparathyroidism) ( 17 , 22 , 25 , 26 , 30 )…”

Section: Transoral Endoscopic Thyroid Surgery Vestibular Approachmentioning

confidence: 99%

Novel Approaches for Treating Autonomously Functioning Thyroid Nodules

et al. 2020

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Benign thyroid nodules are exceedingly common in the adult population. Only a small percentage of nodules are toxic or autonomously functioning thyroid nodules (AFTNs). The options clinicians have for treating the symptoms of hyperthyroidism include anti-thyroidal medications, radioactive iodine, or surgery. Depending on the patient population treated, these options may not be suitable or have inherent risks that are undesirable to the patient. On the other hand, untreated hyperthyroidism can lead to osteoporosis, atrial fibrillation, emotional lability, and neurological consequences. Thus, we present a review of two novel safe and effective approaches for treating AFTN; one surgical (transoral endoscopic thyroid surgery) and one non-surgical (radiofrequency ablation), as a means for expanding our treatment armamentarium.

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Predictive model of operative time in transoral endoscopic thyroidectomy vestibular approach

et al. 2020

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Background: Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) has demonstrated excellent safety and is receiving wider use in North America. Understanding which factors lead to operative difficulty, as evaluated by operative time (OT), may help to improve safety and refine indications for this procedure. Methods: Cases of TOETVA performed at our institution were reviewed. Multivariate linear regression was performed using patient demographics, thyroid characteristics, and operative variables to predict OT. Results: A total of 207 cases were included for analysis. A multivariate linear regression model, controlling for age, sex, and BMI, was developed from 104 cases with an R 2 of 0.47 (p < 0.001). Cross-validation on 103 remaining cases showed root-mean-square error of 46.37. Total thyroidectomy and lobe size were the only significant predictors (p < 0.001). Conclusions: We successfully developed a model to predict OT for TOETVA based on preoperative and operative variables. Lobe size, but not BMI, is a significant predictor of OT.

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Transoral Endoscopic Thyroidectomy by Vestibular Approach—Initial Experience and Comparative Analysis in the First Reported Mexican Cohort

Cited by 26 publications

References 24 publications

Transoral endoscopic thyroidectomy vestibular approach vs conventional open thyroidectomy: Meta‐analysis

Transoral endoscopic thyroidectomy vestibular approach vs conventional open thyroidectomy: Meta‐analysis

Novel Approaches for Treating Autonomously Functioning Thyroid Nodules

Predictive model of operative time in transoral endoscopic thyroidectomy vestibular approach

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